How does balance training typically progress in early rehab?

• A. Begin on stable surfaces with progressive challenges on unstable surfaces as tolerated
• B. Begin on unstable surfaces first and progress to stable surfaces as tolerated
• C. Only use static standing balance
• D. Avoid balance training entirely

Answer: (A)

Balance training in early rehab is built around a gradual progression from stable to unstable surfaces to safely rebuild neuromuscular control. Starting on a stable surface lets a person learn proper alignment and basic postural strategies with low risk, building confidence before adding challenge. As tolerance improves—and with pain, swelling, and movement still within limits—the challenge is increased by incorporating unstable or compliant surfaces and then more dynamic tasks. This approach challenges proprioception and automatic postural control without overwhelming healing tissues. Beginning on unstable surfaces or sticking to only static standing would place too much demand too soon, while avoiding balance work altogether would miss a key part of functional recovery.